Table of Contents
Background...............................................................................................8
Introduction..........................................................................................9
Policy............................................................................................................10
Terms and Definitions.....................................................................11

The Basics...................................................................................................13
Gender Transition Approval Process Overview..............................................14

For the Transgender Service Member...................................17
In-Service Transition......................................................................................17
Communication .............................................................................................20
Finding a Mentor...........................................................................................20
Considerations................................................................................................21
Period of Adjustment..................................................................................21
Impact Transitioning May Have on Your Career........................................21
Assignments................................................................................................21
Individual Medical Readiness (IMR)..........................................................22
Physical Readiness Testing (PRT)..............................................................22
Privacy.........................................................................................................22
Military Records .........................................................................................22
Expectation Management...........................................................................23
Tips for Transitioning Service Members........................................................23

For the Commander...........................................................................25
The Commander’s Impact..............................................................................25
Commander’s Roles and Responsibilities.......................................................25
In-Service Transition...................................................................................25
What You Should Expect From the Military Medical
Provider (MMP) ............................................................................................28
Policy Implications..........................................................................................28
Non-Military Medical Care............................................................................28
Military Personnel Uniform and Grooming Standards..................................28
Deployment....................................................................................................29
Physical Fitness...............................................................................................29
Privacy Accommodations................................................................................29
Military Personnel Drug Abuse Testing Program...........................................29
Tips for Commanders ....................................................................................30

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